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Humanization of the treatment process and clinical communication between patients and medical staff during the COVID-19 pandemic
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This report is based on research conducted under a grant from Poland’s Medical Research Agency, carried out at the University of Warsaw from May 2021 to June 2023. Preliminary findings were presented at the First Congress on the Humanization of Medicine held at the University of Warsaw in June 2022, organized by the Polish Ministry of Health, the Medical Research Agency, and the University of Warsaw.
The survey results presented herein concern four different groups of healthcare employees (physicians, nurses, paramedics, and representatives of other medical and non-medical professions) working at 114 health care units located across the country, a sample of patients at the same medical units, as well as a separate population-based sample of patients from across Poland (individuals who had received medical treatment in the last 24 months).
The publication is licensed under the Creative Commons Attribution-Share Alike 3.0 Poland license (CC BY 3.0 PL) (full license available at: https://creativecommons.org/licenses/by/3.0/legalcode).
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Humanizacja procesu leczenia i komunikacja kliniczna pomiędzy pacjentem a personelem medycznym w czasie pandemii COVID-19
Raport powstał w ramach grantu Agencji Badań Medycznych realizowanego na Uniwersytecie Warszawskim od maja 2021 do czerwca 2023 roku. Wstępne wyniki badań przedstawiono na I Kongresie Humanizacji Medycyny w czerwcu 2022 roku, zorganizowanego na Uniwersytecie Warszawskim przez Ministerstwo Zdrowia, Agencję Badań Medycznych i UW.
Wyniki prezentowane w tej publikacji dotyczą czterech różniących się liczebnością grup pracowników (lekarzy, pielęgniarek, ratowników medycznych oraz przedstawicieli innych zawodów medycznych i niemedycznych) ze 114 jednostek ochrony zdrowia zlokalizowanych w całym kraju, a także pacjentów z tych samych jednostek medycznych oraz pacjentów z próby populacyjnej (osób leczących się w ostatnich 24 miesiącach). Opisując wyniki, wybrano tematy najważniejsze z punktu widzenia dyskusji nad humanizacją medycyny, silnie akcentując kontekst pandemii COVID-19.
Publikacja na licencji Creative Commons Uznanie autorstwa 3.0 PL (CC BY 3.0 PL) (pełna treść wzorca dostępna pod adresem: http://creativecommons.org/licenses/by/3.0/pl/legalcode).
| Rok wydania | 2023 |
|---|---|
| Liczba stron | 240 |
| Kategoria | Publikacje darmowe |
| Wydawca | Uniwersytet Warszawski |
| ISBN-13 | 978-83-235-6018-0 |
| Numer wydania | 1 |
| Informacja o sprzedawcy | ePWN sp. z o.o. |
POLECAMY
Ciekawe propozycje
Spis treści
| SUMMARY OF KEY FINDINGS | 15 |
| PART I: THEORETICAL FOUNDATIONS FOR THE PROJECT 23 | |
| 1. Research background | 23 |
| 1.1. Theoretical concepts underpinning the | |
| humanization of medicine | 23 |
| 1.2. Theoretical models of the doctor–patient | |
| relationship in healthcare | 27 |
| 2. The medical staff–patient relationship | 28 |
| 2.1. Transformations of the doctor–patient | |
| relationship | 28 |
| 2.2. Importance of interpersonal relationships in | |
| healthcare institutions | 29 |
| 3. Clinical communication | 32 |
| 3.1. Communication in clinical practice | 32 |
| 3.2. Importance of communication in clinical | |
| trials | 36 |
| 4. Patients’ rights | 40 |
| 5. The COVID-19 pandemic from healthcare workers’ | |
| perspective | 42 |
| 5.1. Mental wellbeing of healthcare workers | 44 |
| 5.2. Professional burnout | 46 |
| 5.3. Social relations | 48 |
| 5.4. Lifestyle elements | 51 |
| 5.5. Specifics of working in a pandemic | 54 |
| 6. The COVID-19 pandemic from patients’ perspective | |
| 56 | |
| 6.1. Mental health and physical health | 57 |
| 6.2. Working life during the pandemic period | 60 |
| 6.3. Social relations during the pandemic period | |
| 61 | |
| 6.4. Mode of providing medical services | 62 |
| 6.5. Patients’ avoidance of visits to Healthcare | |
| Facilities | 63 |
| 7. Protective factors in the COVID-19 pandemic | 65 |
| PART II: METHODOLOGICAL ASSUMPTIONS OF THE PROJECT 69 | |
| 1. Project objective | 69 |
| 2. Project schedule | 70 |
| 3. Project methodology and study participants | 71 |
| 3.1. Pilot study: Qualitative Interviews | 72 |
| 3.2. Pilot study: Pilot Survey at Healthcare | |
| Facilities | 73 |
| 3.3. Main study: Survey at Healthcare Facilities | |
| 74 | |
| 3.4. Main study: Patient Population Survey | 77 |
| 3.5. Main study: Survey of Clinical Trial Patients | |
| 78 | |
| 4. Research tools used in the project | 78 |
| 5. Method of presenting results | 83 |
| PART III: FINDINGS OF THE PROJECT 89 | |
| 1. Humanization of medicine as perceived by patients | |
| and staff at healthcare facilities | 89 |
| 1.1. Background of the analysis | 89 |
| 1.2. Research tools and method of presenting | |
| results | 90 |
| 1.3. Results | 92 |
| 1.3.1. The perspective of healthcare workers | 92 |
| 1.3.2. The perspective of patients of | |
| healthcare facilities | 101 |
| 1.4. Summary, practical implications, and | |
| directions for further research | 114 |
| 2. The COVID-19 pandemic from the perspective of | |
| healthcare workers | 118 |
| 2.1. Background of the analysis | 118 |
| 2.2. Research tools and method of presenting | |
| results | 119 |
| 2.3. Results | 121 |
| 2.3.1. Working during the COVID-19 pandemic | 121 |
| 2.3.2. Mental health risks | 124 |
| 2.4. Summary, practical implications, and | |
| directions for further research | 126 |
| 3. The COVID-19 pandemic, the treatment process, and | |
| the approach to healthcare from patients’ perspective | |
| 128 | |
| 3.1. Background of the analysis | 128 |
| 3.2. Research tools and method of presenting | |
| results | 130 |
| 3.3. Results | 131 |
| 3.3.1. Location, reasons and other | |
| circumstances of treatment | 131 |
| 3.3.2. Work-related infection risks | 133 |
| 3.3.3. Impact of the pandemic on the treatment | |
| process and diagnosis | 134 |
| 3.3.4. Delays in access to medical care | 135 |
| 3.3.5. Consciously avoiding contact with | |
| healthcare facilities | 137 |
| 3.3.7. Mental response to the epidemiological | |
| situation | 138 |
| 3.3.8. Changes in outlook on different spheres | |
| of life | 139 |
| 3.3.9. Socio-demographic determinants of some | |
| pandemic impact indicators | 140 |
| 3.4. Summary, practical implications, and | |
| directions for further research | 143 |
| 4. The health status of healthcare workers and | |
| patients | 145 |
| 4.1. Background of the analysis | 145 |
| 4.2. Research tools and method of presenting | |
| results | 146 |
| 4.2.1. Physical health indicators | 146 |
| 4.2.2. Mental and social health indicators | 147 |
| 4.3. Results | 150 |
| 4.3.1. Physical health | 150 |
| 4.3.2. Psychosocial health | 153 |
| 4.3.3. Social support vs. stress levels | 159 |
| 4.4. Summary, practical implications, and | |
| directions for further research | 160 |
| 5. Selected health consequences of living in the | |
| COVID-19 pandemic linked to behavioral factors | 162 |
| 5.1. Background of the analysis | 162 |
| 5.2. Research tools and method of presenting | |
| results | 163 |
| 5.3. Results | 166 |
| 5.3.1. Use of stimulants and selected drugs by | |
| healthcare workers | 166 |
| 5.3.2. Weight changes according to patients in | |
| a population-based sample | 169 |
| 5.4. Summary, practical implications, and | |
| directions for further research | 171 |
| 6. Patients’ rights | 174 |
| 6.1. Background of the analysis | 174 |
| 6.2. Research tools and method of presenting | |
| results | 177 |
| 6.3. Results | 178 |
| 6.3.1. Knowledge and perception of compliance | |
| with patients’ rights | 178 |
| 6.3.2. Perceptions of patients’ rights, broken | |
| down by demographic and social characteristics | |
| 180 | |
| 6.3.3. Perception of compliance with patients’ | |
| rights vs. level of trust in healthcare | |
| professionals | 187 |
| 6.4. Summary, practical implications, and | |
| directions for further research | 190 |
| 7. Public perception of clinical trials (according to | |
| patients in the population-based sample) | 192 |
| 7.1. Background of the analysis | 192 |
| 7.2. Research tools and method of presenting | |
| results | 193 |
| 7.3. Results | 194 |
| 7.3.1. Willingness to participate in future | |
| clinical trials | 194 |
| 7.3.2. Factors that may influence the decision | |
| to participate in clinical trials | 195 |
| 7.3.3. Interest in participating in clinical | |
| trials in the future, broken down by selected | |
| characteristics of respondents | 198 |
| 7.4. Summary, practical implications, and | |
| directions for further research | 204 |
| Table of Tables | 207 |
| Index of Figures | 211 |
| Bibliography | 213 |
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